DR. CRISTINA L KIM DNP, PNP
NPI 1780233098
Nurse Practitioner - Pediatrics in Las Vegas, NV

Q: What is Cristina Kim's NPI number?

The NPI number for Cristina Kim is 1780233098. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Cristina Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Cristina Kim was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2019PECOS Enrolled

3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109(702) 457-5437(702) 464-5801 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Jan 20, 2020, Oct 9, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Cristina L Kim Dnp, Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRISTINA L KIM DNP, PNP (NPI 1780233098) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (APRN-CNP885513) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1780233098

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDR. CRISTINA L KIMCredential: DNP, PNP

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing Address3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2019

Enumeration DateSeptember 9, 2019

Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1780233098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NV · APRN-CNP885513

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN-CNP885513 (NV)

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Secondary Practice Location 1

Location 1880 Seven Hills Dr Ste 100Henderson, NV 89052-4372 · Phone (702) 457-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cristina L Kim Dnp, Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143666941

PECOS Enrollment IDI20251218001019

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Cristina Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harold Zilberman M D Chtd

Same address

Pediatrics

3201 S MARYLAND PKWY STE 608
Las Vegas, NV 89109

Reassigned Medicare billing, Nevada enrollment
10 clinicians in this Medicare group

NPI 1942364054 (702) 309-9900

La Maestra Family Clinic Inc

251 mi

Federally Qualified Health Center (FQHC)

1032 BROADWAY
El Cajon, CA 92021

Reassigned Medicare billing, California enrollment
102 clinicians in this Medicare group

NPI 1134590086 (619) 584-1612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SORA SONG MD

Pediatrics